Endoscopic Spine Surgery
Endoscopic spine surgery represents the pinnacle of minimally invasive techniques, using high-definition cameras through incisions smaller than 1cm. This ultra-precise approach treats herniated discs, stenosis, and sciatica with minimal tissue disruption and same-day discharge.
Why Greenberg Spine
Dr. Marc Greenberg's fellowship training at Mayo Clinic, Johns Hopkins, and Brown University, combined with our focus on robotics, endoscopy, and motion-preserving philosophy, ensures you receive the most advanced outpatient spine care available.
Indications
- Herniated disc with radicular pain
- Spinal stenosis with leg symptoms
- Sciatica from nerve compression
- Recurrent disc herniation
- Failed conservative treatment
How the Procedure Works
- Tiny skin incision (<1 cm) with specialized endoscopic instruments
- High-definition camera provides magnified visualization
- Precise removal of disc fragments or bone spurs
- Continuous saline irrigation maintains clear visualization
- Minimal muscle and tissue disruption
Benefits
- Smallest possible incision (<1 cm)
- Same-day discharge in most cases
- Minimal post-operative pain
- Fastest recovery time
- Local anesthesia possible in select cases
Risks & Considerations
- Infection or bleeding (very rare)
- Nerve injury or dural tear
- Incomplete symptom relief
- Recurrent disc herniation
- Not suitable for all spine conditions
Recovery Timeline
Day 0 (Surgery Day)
Outpatient procedure, home within hours
Week 1-2
Light activities, walking encouraged, minimal pain medication
Week 4-6
Return to work, driving, gradual activity increase
3 Months
Full activities, sports clearance, complete recovery
Ideal Candidates
- Contained disc herniation or focal stenosis
- Predominant leg pain over back pain
- Good general health status
- Desire for fastest possible recovery
- Failed 6+ weeks of conservative care
Alternatives
- Physical therapy and medications
- Epidural steroid injections
- Traditional microdiscectomy
- Lumbar laminectomy for stenosis
Conservative Options
Before considering endoscopic surgery, Dr. Greenberg typically recommends a comprehensive conservative approach including physical therapy, anti-inflammatory medications, activity modification, and targeted epidural injections. Surgery is only recommended when conservative treatments have been exhausted and symptoms significantly impact quality of life.
What to Expect
- Pre-op visit: Imaging review and surgical planning
- Anesthesia: General or local with sedation
- Incision size: Less than 1 cm (pencil eraser size)
- Discharge plan: Same-day discharge within hours
- First follow-up: 1-2 weeks post-surgery
Frequently Asked Questions
How small is the incision?
Endoscopic spine surgery uses incisions smaller than 1 cm, about the size of a pencil eraser.
Can I go home the same day?
Yes, most endoscopic spine procedures are performed on an outpatient basis with same-day discharge.
Is local anesthesia possible?
In select cases, endoscopic procedures can be performed under local anesthesia with sedation.
What conditions can be treated?
Herniated discs, spinal stenosis, sciatica, and some types of nerve compression can be treated endoscopically.
How quickly can I return to work?
Most patients return to desk work within 1-2 weeks and physical activities within 4-6 weeks.
Experience the Smallest Incision Surgery
Schedule a consultation to see if endoscopic spine surgery is right for you.
Related Information
Disclaimer: Information is educational, not medical advice. Outcomes vary. Individual results depend on many factors including age, health status, and adherence to post-operative instructions.